NORTHWOOD DEACONESS HEALTH CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: NORTHWOOD DEACONESS HEALTH CENTER (EIN 45-0226472)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-05-11
IRS object ID: 202141319349303644
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-11T17:50:58-04:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	050537984	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Liberty Tax Service	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	720 S Washington St	AddressLine1Txt
City	Grand Forks	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	582014328	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	450226472	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	NORTHWOOD DEACONESS HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NORT	BusinessNameControlTxt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 190	AddressLine1Txt
City	NORTHWOOD	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58267	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Pete Antonson	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	7015876459	PhoneNum
Signature	2021-05-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Pete	PersonFirstNm
Person Last	Antonson	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brad Ness	PreparerPersonNm
PTIN	P00341625	PTIN
Phone	7017461750	PhoneNum
Preparation	2021-05-11	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	0	TrustedCustomerCd
OOB Security Verification	00	OOBSecurityVerificationCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	$15,554,862	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1902	FormationYr
Legal Domicile State	ND	LegalDomicileStateCd
Activity Or Mission	Serve as a local access to a full range of health care services. continue as a leader in primary care for the whole family, in care of the elderly, and in emergency services. Function as a focal point for health education and wellness.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	228	TotalEmployeeCnt
Total Volunteers	45	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$203,026	PYContributionsGrantsAmt
CY Contributions Grants	$315,015	CYContributionsGrantsAmt
PY Program Service Revenue	$13,971,411	PYProgramServiceRevenueAmt
CY Program Service Revenue	$15,222,389	CYProgramServiceRevenueAmt
PY Investment Income	$9,644	PYInvestmentIncomeAmt
CY Investment Income	$17,458	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$14,184,081	PYTotalRevenueAmt
CY Total Revenue	$15,554,862	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$8,587,358	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$9,811,173	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$4,532,926	PYOtherExpensesAmt
CY Other Expenses	$3,792,712	CYOtherExpensesAmt
PY Total Expenses	$13,120,284	PYTotalExpensesAmt
CY Total Expenses	$13,603,885	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,063,797	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,950,977	CYRevenuesLessExpensesAmt
Total Assets BOY	$7,562,555	TotalAssetsBOYAmt
Total Assets EOY	$12,934,679	TotalAssetsEOYAmt
Total Liabilities BOY	$4,883,698	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$8,304,845	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,678,857	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,629,834	NetAssetsOrFundBalancesEOYAmt
Mission	Serve as a local access to a full range of health care services. continue as a leader in primary care for the whole family, in care of the elderly, and in emergency services. Function as a focal point for health education and wellness.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$8,508,742	ExpenseAmt
Revenue	$10,887,681	RevenueAmt
Desc	1,326 days of acute and swing bed care420 emergency room visits5,980 clinic visits140 ambulance calls4,968 outpatient therapy visits	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,635,929	ExpenseAmt
Revenue	$4,202,634	RevenueAmt
Desc	13,066 skilled days of nursing home care	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$125,346	ExpenseAmt
Revenue	$132,074	RevenueAmt
Desc	106 months occupied rentals by tenants	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$12,270,017	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	10	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	228	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Pete Antonson CEO	PersonNm
Phone	7015876459	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 190 4 N Park St	AddressLine1Txt
City	Northwood	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58267	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
Condetta Ness
Nurse Practioner	40.00	0.00	Yes (X)	$282,329	$0	$17,248
Brian Twete
Nurse Practioner	40.00	0.00	Yes (X)	$238,166	$0	$21,084
Eric Burke
Nurse Practioner	40.00	0.00	Yes (X)	$178,636	$0	$12,424
Jeanmarie Dahl
Physician Assistant	40.00	0.00	Yes (X)	$147,905	$0	$0
Jennifer Metz
Pharmacy Manager	40.00	0.00	Yes (X)	$116,595	$0	$0
Cynthia Pic
Director	1.00	0.00		$0	$0	$0	Yes (X)
Robert Bilden
Director	1.00	0.00		$0	$0	$0	Yes (X)
Susan Morten
Director	1.00	0.00		$0	$0	$0	Yes (X)
James Ostlie
Director	1.00	0.00		$0	$0	$0	Yes (X)
Judy Engen
Director	1.00	0.00		$0	$0	$0	Yes (X)
Keith Groven
Director	1.00	0.00		$0	$0	$0	Yes (X)
Bradley Pearson
President	1.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
Gary Rankin
Vice President	1.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
Lonney Eastvold
SeretaryTreasurer	1.00	0.00		$0	$0	$0	Yes (X)	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$963,631	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$50,756	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	10	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
All Other Contributions	$315,015	AllOtherContributionsAmt
Total Contributions	$315,015	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Hospital	621400	$10,887,681	$10,887,681
Skilled Nursing Facilit	623000	$4,202,634	$4,202,634
Apartments	623990	$132,074	$132,074

Field	Value	IRS element (for citing)
Total Program Service Revenue	$15,222,389	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,458	TotalRevenueColumnAmt
Related Or Exempt Func Income	$17,458	RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,554,862	TotalRevenueColumnAmt
Related Or Exempt Func Income	$15,239,847	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$8,230,766	TotalAmt
Program Services	$7,834,774	ProgramServicesAmt
Management And General	$395,992	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$183,541	TotalAmt
Program Services	$174,711	ProgramServicesAmt
Management And General	$8,830	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$862,230	TotalAmt
Program Services	$820,747	ProgramServicesAmt
Management And General	$41,483	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$534,636	TotalAmt
Program Services	$508,914	ProgramServicesAmt
Management And General	$25,722	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$468,026	TotalAmt
Program Services	$137,000	ProgramServicesAmt
Management And General	$331,026	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$100	TotalAmt
Management And General	$100	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$26,570	TotalAmt
Management And General	$26,570	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$24,510	TotalAmt
Management And General	$24,510	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$54,803	TotalAmt
Management And General	$54,803	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$268,848	TotalAmt
Management And General	$268,848	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$40,113	TotalAmt
Program Services	$37,217	ProgramServicesAmt
Management And General	$2,896	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$120,492	TotalAmt
Program Services	$112,858	ProgramServicesAmt
Management And General	$7,634	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$625,247	TotalAmt
Program Services	$625,247	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$94,971	TotalAmt
Management And General	$94,971	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Utilities	$331,989	$331,989
RepairsMaintenance	$260,668	$260,668
Food	$152,254	$152,254
SuppliesMisc	$1,324,121	$1,273,638	$50,483

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,603,885	TotalAmt
Program Services	$12,270,017	ProgramServicesAmt
Management And General	$1,333,868	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$628,606	BOYAmt
EOY	$4,056,993	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$676,899	BOYAmt
EOY	$3,039,881	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,852,613	BOYAmt
EOY	$1,564,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$42,122	BOYAmt
EOY	$36,136	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$16,254,425	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$12,016,756	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,362,315	BOYAmt
EOY	$4,237,669	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,562,555	BOYAmt
EOY	$12,934,679	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,666,189	BOYAmt
EOY	$5,516,557	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,217,509	BOYAmt
EOY	$2,788,288	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,883,698	BOYAmt
EOY	$8,304,845	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,063,745	BOYAmt
EOY	$4,014,722	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$615,112	BOYAmt
EOY	$615,112	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,678,857	BOYAmt
EOY	$4,629,834	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,562,555	BOYAmt
EOY	$12,934,679	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,950,977	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$70,510	InvestmentCostOrOtherBasisAmt
Book Value	$70,510	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$12,680,513	InvestmentCostOrOtherBasisAmt
Depreciation	$9,628,750	DepreciationAmt
Book Value	$3,051,763	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$3,390,270	InvestmentCostOrOtherBasisAmt
Depreciation	$2,388,006	DepreciationAmt
Book Value	$1,002,264	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$113,132	InvestmentCostOrOtherBasisAmt
Book Value	$113,132	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,237,669	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$15,554,862	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$15,554,862	RevenueSubtotalAmt
Total Revenue Per Form990	$15,554,862	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$13,603,885	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$13,603,885	ExpensesSubtotalAmt
Total Expenses Per Form990	$13,603,885	TotalExpensesPerForm990Amt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$36,214	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,214	NetCommunityBenefitExpnsAmt

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$618,089	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$567,054	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,035	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$654,303	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$567,054	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$87,249	NetCommunityBenefitExpnsAmt

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$45,448	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,315	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,133	NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$36,035	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,412	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,623	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$20,906	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,906	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$102,389	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,727	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,662	NetCommunityBenefitExpnsAmt

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$756,692	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$590,781	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$165,911	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$120,000	BadDebtExpenseAmt
Reimbursed By Medicare	$4,357,881	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,488,617	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$130,736	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Northwood Deaconess Health Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 190 at 4 N Park Street	AddressLine1Txt
City	Northwood	CityNm
State Abbreviation	ND	StateAbbreviationCd
ZIP	58267	ZIPCd

Field	Value	IRS element (for citing)
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Northwood Deaconess Health Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.ndhc.net	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.ndhc.net	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.00	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.00	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.ndhc.net	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.ndhc.net	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.ndhc.net	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Facility Group Part V line 5	FormAndLineReferenceDesc
Explanation	The organization reviews its community health needs assessment regularly. The stratigic planning process takes the assessment into consideration when setting plans, priorities, initiatives and directions.	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Northwood Deaconess Health Cen
Towner Avenue	Larimore	ND	58251	Medical Clinic
Northwood Deaconess Health Cen
Main St	Binford	ND	58416	Medical Clinic
Northwood Deaconess Health Cen
4 N Park St	Northwood	ND	58267	Medical Clinic
Northwood Deaconess Health Cen
PO Box 190 at 4 N Park St	Northwood	ND	58267	42 Bed Skilled Nursing Facility
Northwood Deaconess Health Cen
PO Box 190 at 4 N Park St	Northwood	ND	58267	6 Units Assisted Living Apartments
Northwood Deaconess Health Cen
PO Box 190 at 4 N Park St	Northwood	ND	58267	10 Units Independent Living Apartments

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
01. Related organization annual community benefit report (Part I, line 6a)	The community benefit report was posted on the website, published locally, and a copy available upon request at no charge.
02. Needs assessment (Part VI, line 2)	As a church owned organization, we maintain contact and communication with our owner churchs through newsletters, meetings, and other various interactions.
03. Patient education (Part VI, line 3)	We have a patient advocate that helps individuals complete our own financial assistance forms. They also make clients aware of other programs in which they might benefit from. We assist clients in assessing ACA coverage through the exchange.
04. Community information (Part VI, line 4)	We serve the southwest portion of Grand Forks County, eastern Nelson County, and parts of Steele, Traill and Griggs Counties. The entire area is by definition rural with a total population of approximately 9,600.
05. Promoting community health (Part VI, line 5)	We participate in health fairs for the public on health issues. Due to Covid 19, these were not help this past year. We hold wellness clinics for both men and women specializing in their individual needs. We maintain a community fitness centerat a fee that is subsidized to the patrons in order to ensure it is affordable and accessible. Access to the fitness center was limited for significant parts of the year due to Covid 19 pandemic.
06. Collection practices (Part III, line 9b)	The Health Center offers a charity care financial assistance program and make it known to clients. If clients do not qualify or apply they can make payments on account. After 180 days, accounts with no payment activity are turned over to collection agency.
07. Subsidized health services costs (Part I, line 7g)	Meals on Wheels revenue $5112 expenses $10624 net loss $5512Foot Care revenue $580 expenses $1123 net loss $543Medicare Alert Units revenue $14720 expenses $24288 net loss $9568
08. Costing methodology explanation (Part I, line 7)	The Health Center uses an audited cost accounting system to accumulated costs associated with other community benefit programs.
09. Part III, line 2	Patient and resident accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the Health Center analyzes its past history and identifies trends for each of its major payor sources to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with self pay patients, the Health Center records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill that is self pay.
10. Allowable Medicare costing methodology (Part III, line 8)	The Health Center uses an audited cost accounting system to accumulated costs associated with Medicare billings.
11. Other charity care criteria description (Part I, line 3c)	The Health Center uses FPG in determining eligibilty for free or discounted care.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
Eric Burke
Nurse Practioner	$178,636	$5,579	$6,845	$191,060
Condetta Ness
Nurse Practioner	$282,329	$8,519	$8,729	$299,577
Brian Twete
Nurse Practioner	$238,166	$7,229	$13,855	$259,250

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990 governing body review Part VI line 11	The tax return is provided to all members of the governing board with related schedules prior to the return beign filed. The return is on the agendaof a regularly scheduled board meeting, mailed one week prior to the meeting, and reviewed at the board meeting.
Conflict of interest policy compliance Part VI line 12c	The policy is reviewed by the board of directors and management team annually. Examples of what a conflict of interest or conflicted person are reviewed. Each person must sign and acknowladge understandingof the policy.
CEO executive director top management comp Part VI line 15a	We are managed by Sanford Health with the CEO being employed by Sanford Health. Sanford Health uses regional salary data to set their scale and suggests salary for the CEO to the board of directors.
Other officer or key employee compensation Part VI line 15b	The facility uses statewide data surveyed by the ND Hospital Association and the ND Long Term Care Association when administering salaries. Policy is to be competitive regionally.
Governing documents etc available to public Part VI line 19	The financial statements, conflict of interest policy and governing documents are available upon request.